Use of Royal Darwin Hospital emergency department by immigration detainees in 2011

Adrienne Deans, Clare Boerma, James Fordyce, Mark De Souza, Didier Palmer, Joshua Davis

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To describe the number and nature of emergency department (ED) attendances by immigration detainees in Darwin, in the Northern Territory, over a 12-month period.

    Design and setting:
     Retrospective observational study of immigration detainees attending the Royal Darwin Hospital ED during the 2011 calendar year.

    Main outcome measures:
     Number of ED attendances and primary diagnoses.

    Results:
     In 2011, there were 770 ED attendances by 518 individual detainees at Royal Darwin Hospital. Those who attended the ED had a mean (SD) age of 27.6 (12.2) years, and 112 of them (21.6%) were children. Most (413, 79.7%) were male, and Iran and Afghanistan were the two most common countries of birth. We estimate that 50.1% (95% CI, 47.0%–53.2%) of immigration detainees in Darwin (mean, 776 per month; total, 1034), attended the Royal Darwin Hospital ED at least once in 2011. The most common primary diagnosis was psychiatric problems (187 attendances, 24.3%), including self-harm (138 attendances, 17.9%).

    Conclusion: 
    In 2011, asylum seekers in immigration detention in Darwin had a high prevalence of unmet health needs and substantial levels of psychiatric morbidity. The primary health care provided to them was inadequate.
    Original languageEnglish
    Pages (from-to)776-778
    Number of pages3
    JournalMedical Journal of Australia
    Volume199
    Issue number11
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Hospital Departments
    Emigration and Immigration
    Hospital Emergency Service
    Northern Territory
    Afghanistan
    Refugees
    Iran
    Mental Disorders
    Observational Studies
    Psychiatry
    Primary Health Care
    Retrospective Studies
    Outcome Assessment (Health Care)
    Parturition
    Morbidity
    Health

    Cite this

    Deans, Adrienne ; Boerma, Clare ; Fordyce, James ; De Souza, Mark ; Palmer, Didier ; Davis, Joshua. / Use of Royal Darwin Hospital emergency department by immigration detainees in 2011. In: Medical Journal of Australia. 2013 ; Vol. 199, No. 11. pp. 776-778.
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    title = "Use of Royal Darwin Hospital emergency department by immigration detainees in 2011",
    abstract = "Objective: To describe the number and nature of emergency department (ED) attendances by immigration detainees in Darwin, in the Northern Territory, over a 12-month period.Design and setting: Retrospective observational study of immigration detainees attending the Royal Darwin Hospital ED during the 2011 calendar year.Main outcome measures: Number of ED attendances and primary diagnoses.Results: In 2011, there were 770 ED attendances by 518 individual detainees at Royal Darwin Hospital. Those who attended the ED had a mean (SD) age of 27.6 (12.2) years, and 112 of them (21.6{\%}) were children. Most (413, 79.7{\%}) were male, and Iran and Afghanistan were the two most common countries of birth. We estimate that 50.1{\%} (95{\%} CI, 47.0{\%}–53.2{\%}) of immigration detainees in Darwin (mean, 776 per month; total, 1034), attended the Royal Darwin Hospital ED at least once in 2011. The most common primary diagnosis was psychiatric problems (187 attendances, 24.3{\%}), including self-harm (138 attendances, 17.9{\%}).Conclusion: In 2011, asylum seekers in immigration detention in Darwin had a high prevalence of unmet health needs and substantial levels of psychiatric morbidity. The primary health care provided to them was inadequate.",
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    author = "Adrienne Deans and Clare Boerma and James Fordyce and {De Souza}, Mark and Didier Palmer and Joshua Davis",
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    Use of Royal Darwin Hospital emergency department by immigration detainees in 2011. / Deans, Adrienne; Boerma, Clare; Fordyce, James; De Souza, Mark; Palmer, Didier; Davis, Joshua.

    In: Medical Journal of Australia, Vol. 199, No. 11, 2013, p. 776-778.

    Research output: Contribution to journalArticleResearchpeer-review

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    N2 - Objective: To describe the number and nature of emergency department (ED) attendances by immigration detainees in Darwin, in the Northern Territory, over a 12-month period.Design and setting: Retrospective observational study of immigration detainees attending the Royal Darwin Hospital ED during the 2011 calendar year.Main outcome measures: Number of ED attendances and primary diagnoses.Results: In 2011, there were 770 ED attendances by 518 individual detainees at Royal Darwin Hospital. Those who attended the ED had a mean (SD) age of 27.6 (12.2) years, and 112 of them (21.6%) were children. Most (413, 79.7%) were male, and Iran and Afghanistan were the two most common countries of birth. We estimate that 50.1% (95% CI, 47.0%–53.2%) of immigration detainees in Darwin (mean, 776 per month; total, 1034), attended the Royal Darwin Hospital ED at least once in 2011. The most common primary diagnosis was psychiatric problems (187 attendances, 24.3%), including self-harm (138 attendances, 17.9%).Conclusion: In 2011, asylum seekers in immigration detention in Darwin had a high prevalence of unmet health needs and substantial levels of psychiatric morbidity. The primary health care provided to them was inadequate.

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